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October 4, 2018Figure 1 Quiz of the Week
A 58-year-old woman presents two days after a cardiac catheterization with malaise, fatigue, and new violaceous livedoid lesions on her feet. She is also found to have mild acute renal dysfunction.
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Image credit: @hfehmi.
Answer: Cholesterol embolization syndrome
When small particles of atheroma embolize during a vascular procedure, the symptoms can vary depending on the tissues affected by these microscopic cholesterol crystals. Common features include acute kidney injury, livedo reticularis, TIAs, and gastrointestinal symptoms.
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